Dual X-ray absorptiometry has limited utility in detecting bone pathology in children with hypophosphatasia: A pooled post hoc analysis of asfotase alfa clinical trial data

Asfotase alfa is an enzyme replacement therapy approved for treatment of patients with pediatric-onset hypophosphatasia (HPP), a rare, inherited, systemic disease causing impaired skeletal mineralization, short stature, and reduced physical function in children. The role of dual X-ray absorptiometry (DXA) in the assessment of children with HPP has been insufficiently explored. This post hoc analysis included pooled DXA data from 2 open-label, multicenter studies in 19 children with HPP. The study population was aged ≥5 to <18 years and had received asfotase alfa for ≤6.6 years at enrollment (male: 79%; median age at enrollment: 10.4 y [range: 5.9–16.7]; treatment duration: 6.3 y [range: 0.1–6.6]. Baseline height Z-scores indicated short stature (median [min, max]: −1.26 [−6.6, 0]); mean [SD]: −2.30 [1.97]), thus requiring height adjustment of DXA Z-scores. At Baseline, few patients had height-adjusted bone mineral density (BMDht) Z-scores of −2 or less for whole body (n = 3) or lumbar spine (n = 5). In treated patients, mean whole body and lumbar spine BMDht Z-scores did not change over time, but whole body and lumbar spine height- adjusted bone mineral content (BMCht) Z-scores increased significantly from Baseline to Last Assessment (P ≤ 0.0056). Improvements in Radiographic Global Impression of Change (RGI-C) scale scores correlated significantly with increases in whole body and lumbar spine BMCht Z-scores (P < 0.05) but not BMDht Z-Scores. Improvements in Rickets Severity Score (RSS) correlated significantly with increases in lumbar spine BMDht Z-scores and whole body BMCht Z-scores (P < 0.05). No significant correlations were observed between any DXA and bone histomorphometry measure. These findings suggest that DXA BMD Z-scores, which are commonly used in clinical practice, have limited utility in assessing deficient bone mineralization in patients with HPP. Although BMCht Z-scores increased significantly over time with asfotase alfa therapy, the lack of significant changes in more than one DXA parameter suggests that this tool may not be useful in everyday clinical practice. Furthermore, the use of BMC as an independent metric is not typical or recommended by guidelines. Complementary measures, such as skeletal radiographs supplemented with age-appropriate functional assessments, should be considered.This work was supported by Alexion Pharmaceuticals, Inc., Boston, MA, USA

AER Building Blocks for Multi-Layer Multi-Chip Neuromorphic Vision Systems

A 5-layer neuromorphic vision processor whose components communicate spike events asychronously using the address-eventrepresentation (AER) is demonstrated. The system includes a retina chip, two convolution chips, a 2D winner-take-all chip, a delay line chip, a learning classifier chip, and a set of PCBs for computer interfacing and address space remappings. The components use a mixture of analog and digital computation and will learn to classify trajectories of a moving object. A complete experimental setup and measurements results are shown.Unión Europea IST-2001-34124 (CAVIAR)Ministerio de Ciencia y Tecnología TIC-2003-08164-C0

Origen de la mutación G736A del gen Parkin en la población de Peque (noroccidente de Antioquia)

In a large family from Peque population (Antioquia), there have been found some individuals affected with juvenile Parkinson’s disease, due to the G736A mutation located in exon 6 of the PARK2 gene. As a result of the tri-ethnic composition of our mixed populations and that this mutation was reported in Spain, our goal was to find the origin of this mutation. We typified molecular markers on the Y chromosome in 132 unrelated individuals from the general population and 31 of the family; in addition the records of surnames in two periods were also analyzed. The mutation was exclusively found in families where only one haplotype was European (haplogroup P) named Valle, and one native haplotype (Q1a3a) named SalasG736A, the mutation carriers. The mutation G736A, joined by European founders (P) named Valle, increased its frequency due to a founder effect, internal growth and inbreeding in the family but not in the total population and it expanded in a Native American context (Q1a3a) named Salas.En una gran familia de la población de Peque (Antioquia) se hallaron individuos afectados por la enfermedad de Parkinson juvenil, debido a la mutación G736A localizada en el exón 6 del gen PARK2. Dada la composición triétnica de nuestraspoblaciones mestizas, y dado que esta mutación fue reportada en España, nuestro objetivo fue buscar su origen. Para ello, tipificamos con marcadores moleculares del cromosoma Y a 132 individuos no relacionados de la población general y a 31 de la familia, además con registros de apellidos en dos periodos diferentes. La mutación solo se encontró en la familia en la que se dio un solo haplotipo europeo (haplogrupo P) de apellido Valle, y un solo haplotipo nativo (Q1a3a) de apellido Salas, portadores de la mutación G736A. La mutación G736A ingresó con fundadores europeos (P) de apellido Valle, aumentó su frecuencia debido a un efecto fundador, al crecimiento interno y a cruces endogámicos en la familia y no en la población total, y se expandió en un contexto amerindio (Q1a3a) de apellido Salas

Meeting report : 1st international functional metagenomics workshop May 7–8, 2012, St. Jacobs, Ontario, Canada

This report summarizes the events of the 1st International Functional Metagenomics Workshop. The workshop was held on May 7 and 8 in St. Jacobs, Ontario, Canada and was focused on building a core international functional metagenomics community, exploring strategic research areas, and identifying opportunities for future collaboration and funding. The workshop was initiated by researchers at the University of Waterloo with support from the Ontario Genomics Institute (OGI), Natural Sciences and Engineering Research Council of Canada (NSERC) and the University of Waterloo

Position statement of the International Society for Gastrointestinal Hereditary Tumours (InSiGHT) on APC I1307K and cancer risk

While constitutional pathogenic variants in the APC gene cause familial adenomatous polyposis, APC c.3920T>A; p.Ile1307Lys (I1307K) has been associated with a moderate increased risk of colorectal cancer (CRC), particularly in individuals of Ashkenazi Jewish descent. However, published data include relatively small sample sizes, generating inconclusive results regarding cancer risk, particularly in non-Ashkenazi populations. This has led to different country/continental-specific guidelines regarding genetic testing, clinical management and surveillance recommendations for I1307K. A multidisciplinary international expert group endorsed by the International Society for Gastrointestinal Hereditary Tumours (InSiGHT), has generated a position statement on the APC I1307K allele and its association with cancer predisposition. Based on a systematic review and meta-analysis of the evidence published, the aim of this document is to summarise the prevalence of the APC I1307K allele and analysed the evidence of the associated cancer risk in different populations. Here we provide recommendations on the laboratory classification of the variant, define the role of predictive testing for I1307K, suggest recommendations for cancer screening in I1307K heterozygous and homozygous individuals and identify knowledge gaps to be addressed in future research studies. Briefly, I1307K, classified as pathogenic, low penetrance, is a risk factor for CRC in individuals of Ashkenazi Jewish origin and should be tested in this population, offering carriers specific clinical surveillance. There is not enough evidence to support an increased risk of cancer in other populations/subpopulations. Therefore, until/unless future evidence indicates otherwise, individuals of non-Ashkenazi Jewish descent harbouring I1307K should be enrolled in national CRC screening programmes for average-risk individuals

A network-specific approach to percolation in networks with bidirectional links

Methods for determining the percolation threshold usually study the behavior of network ensembles and are often restricted to a particular type of probabilistic node/link removal strategy. We propose a network-specific method to determine the connectivity of nodes below the percolation threshold and offer an estimate to the percolation threshold in networks with bidirectional links. Our analysis does not require the assumption that a network belongs to a specific ensemble and can at the same time easily handle arbitrary removal strategies (previously an open problem for undirected networks). In validating our analysis, we find that it predicts the effects of many known complex structures (e.g., degree correlations) and may be used to study both probabilistic and deterministic attacks.Comment: 6 pages, 8 figure

The RNA Binding Protein Csx1 Promotes Sexual Differentiation in Schizosaccharomyces pombe

Sexual differentiation is a highly regulated process in the fission yeast Schizosaccharomyces pombe and is triggered by nutrient depletion, mainly nitrogen source

"Give me some space" : exploring youth to parent aggression and violence

A small scale qualitative project, undertaken by an interdisciplinary domestic violence research group involving academic researchers and research assistants, with colleagues from Independent Domestic Abuse Services (IDAS), investigated youth aggression and violence against parents. Following the literature review, data was generated through several research conversations with young people (n = 2), through semi-structured interviews with mothers (n = 3) and practitioners (n = 5), and through a practitioner focus group (n = 8). Thematic analysis and triangulation of the data from parents, practitioners and young people, elicited interconnected and complex overarching themes. Young people could be both victim and perpetrator. The witnessing or experiencing of domestic aggression and violence raised the concept of ‘bystander children’. The impact of young people experiencing familial violence was underestimated by parents. For practitioners, the effects of working with domestic violence was shown to be significant - both positively and negatively